Atlanta Dental Fitness

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ATLANTA DENTAL FITNESS

Practice address

2296 Henderson Mill Rd NE Ste 109
Atlanta, GA 30345-2739

Phone

(678) 578-5388

Fax

(404) 393-5128

NPI assigned

Oct 1, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter V Vanstrom

Title

Doctor

Phone

(678) 578-5388

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1891336830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 HENDERSON MILL RD NE STE 109",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452739",
            "telephone_number": "678-578-5388",
            "fax_number": "404-393-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 HENDERSON MILL RD NE STE 109",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452739",
            "telephone_number": "678-578-5388",
            "fax_number": "404-393-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA DENTAL FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "VANSTROM",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "678-578-5388"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smile@vanstrom.com",
            "affiliation": "N",
            "address_1": "2296 Henderson Mill Rd NE Ste 109",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303452739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Atlanta Counseling and Wellness, LLC
• Atlanta Counseling Center
• Atlanta DBT Center
• Atlanta Dental Center, LLC
• Atlanta Dental Center, LLC
• Atlanta Dental Group PC
• Atlanta Dermatologic Surgery Consultants, PC
• Atlanta Dermatology & Aesthetics PC
• Atlanta Dermatopathology & Pathology Associates
• Atlanta Diabetes Associates

• Dental Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.